ORDER FORM FOR CREDIT CARD ORDERS FROM SHAREIT! =============================================== Use this form only if you are ordering by FAX or mail from ShareIt!. DO NOT SEND CREDIT CARD ORDERS DIRECTLY TO KATMAR SOFTWARE. Send the completed form to :- **NOTE** This address is for ShareIt! ORDERS ONLY. Any questions on Habsburgerring 3 the status of the shipment of D-50674 Koeln the order, refunds, registration Germany options, product details, technical support etc must be FAX +49-221 240 7278 directed to Katmar Software's South African or email address. Registration for : Project Risk Analysis by Katmar Software Product Code 101290/1 __ Licence type : Single User Licence US$ 80-00 |__| (tick one) Site Licence US$ 250-00 |__| Registration Details Your Name : ___________________________________________ Your Company Name : ___________________________________________ Your Address : ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Your Email Address : ___________________________________________ Your Fax Number : ___________________________________________ Credit Card Details Name as on Card : ___________________________________________ Billing Address : ___________________________________________ ___________________________________________ ___________________________________________ Credit Card type : Mastercard/Eurocard / Visa / AmEx / Diners Club (circle one) Credit Card Number : ___________________________________________ Expiration Date : _________________________________ ( mm/yy ) Total Amount in US$ : __________________________ (see cost above) Signature : ______________________Date : ______________